Individual
PASSANT HASSAN IBRAHIM HASSA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
211 E BEACON ST APT A, ALHAMBRA, CA 91801-6189
(626) 510-7292
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
A200916
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
06/12/2025
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